Individual provider Active NPI

Nicholas Mark Saari, DDS

  • Dentist
  • Falcon Heights, MN
National Provider Identifier
1780846774
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12518 Issued in MN
Practice address
1271 Gibbs Ave
Falcon Heights, MN 55108-1159
Phone
(320) 358-4733
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D12518 MN Primary

Addresses

Primary practice location

1271 Gibbs Ave
Falcon Heights, MN 55108-1159

Mailing address

1271 Gibbs Ave
Falcon Heights, MN 55108-1159
Phone (320) 358-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 16, 2015 through Nov 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D12518MNMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1780846774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 GIBBS AVE",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551081159",
            "telephone_number": "320-358-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 GIBBS AVE",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551081159",
            "telephone_number": "320-358-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAARI",
        "first_name": "NICHOLAS",
        "middle_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon Heights, MN

Sources for this page

Verify at the official NPI Registry.